Community Outreach and Education: Chikungunya, Dengue, and Zika Lauren Salmo, MPH, CHES California Department of Public Health Vector-Borne Disease Section.

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Presentation transcript:

Community Outreach and Education: Chikungunya, Dengue, and Zika Lauren Salmo, MPH, CHES California Department of Public Health Vector-Borne Disease Section March 1, 2015

Educational materials created by the California Department of Public Health Educational materials created by the Centers for Disease Control and Prevention Best practices for material dissemination and community education Case study Presentation Overview

CDPH Educational Materials New releases and health advisories Chikungunya fact sheet Dengue fact sheet Zika fact sheet Information for clinicians fact sheet Aedes aegypti fact sheet/hoja informativa sobre Aedes aegypti Eliminating Aedes aegypti brochure and flyer

CDPH Website: Aedes Mosquitoes

CDPH News, Hot Topics, and Updates albopictus-and-Aedes-aegypti-Mosquitoes.aspx

CDPH News Release: February 1,

CDPH Chikungunya Fact Sheet Documents/ChikungunyaFactSheet.pdf /HojadeInformaci%C3%B3nSobreChikungunya.pdf

CDPH Dengue Fact Sheet althInfo/discond/Documents /DengueFactSheet.pdf althInfo/discond/Documents /DengueFactSheet.pdf Spanish version coming soon

CDPH Zika Fact Sheet Documents/ZikaPreguntasyRespuestas.pdf Documents/ZikaQandA.pdf

CDPH Weekly Update Number of Laboratory-Positive Zika Cases in California This table provides the number of travel-associated cases of Zika in California residents since Cases are categorized by date of onset of symptoms. Case numbers are updated every Friday. fZikaVirusinCA.pdf

Information for Clinicians: Aedes mosquitoes, Chikungunya, and Dengue Documents/DengueorCHIKInformationForClinic iansinCA.pdf Aedes vector overview and geographic distribution Role of clinicians Disease epidemiology Clinical presentation Lab testing Resources

Aedes aegypti Fact Sheet Hoja Informativa Sobre Aedes aegypti

Eliminating Aedes aegypti

CDC Educational Materials Chikungunya Dengue Zika Mosquito bite prevention

CDC Chikungunya Fact Sheet Available in English, Spanish, Arabic, Dutch, and Haitian Creole

CDC Dengue Fact Sheet Available in English only

CDC Zika Multi-Page Infographic Available in English and Spanish Information for pregnant women, travelers, and general public hic.pdf hic.pdf

CDC Zika Information What we know, and what we don’t know Available in English We-Know-Infographic.pdf We-Know-Infographic.pdf

CDC Zika Prevention for Pregnant Women

-a_soto_protectyourself_sp_508.pdf _yourself_from_mosquito_bites.pdf CDC Mosquito Bite Prevention Information

Available in English and Spanish

CDC Mosquito Bite Prevention for Travelers

CDC Mosquito Control Information Available in English and Spanish

Members of the community are approached by trained peer-volunteers who provide: Best Practices: Active Community Organization Public Health Approach to Mosquito Source Reduction Verbal information about public health threats regarding mosquitoes and mosquito-borne diseases Active demonstrations of ways to minimize the occurrence of periodomestic mosquitoes

Evidence-Based Practice Community members in Indonesia provided education to 500 homes. After 3 months there was a 56% reduction in larval indices (Soedarmo 1993). Community volunteers in Thailand were trained in mosquito control. Their community education resulted in a significant reduction in mosquito infestations (Phanthumachinda, et al. 1995). In Texas, high school students proved to be an excellent resource for teaching members of the community about health behaviors (Warner, et al. 2005). In New Jersey, active education by community peers led to a significant reduction in mosquito container habitats (Healy, et al. 2014).

“Rather than creating additional external structures, interventions at local level should be inserted in the pre-existing social structures, organizations and institutions” -Pérez, et al., 2007 “Community participation in Aedes aegypti control: a sociological perspective on five years of research in the health area ‘‘26 de Julio’’, Havana, Cuba

Key Partners in Community Engagement Local residents/citizen scientists Community leaders Community health workers/promotoras AmeriCorps volunteers (Healy, et al. 2014) High school students Medical Reserve Corps Boy Scouts and Girl Scouts Religious groups Community service organization chapters Agricultural extension programs

Case Study Results: Significant reduction in container habitats in the sites where the volunteers actively engaged the community compared to untreated control areas.

Volunteer Training Mosquito biology Basic skills training: source reduction of containers Practice with “backyard scenarios” Role play in simulated backyard habitats How to promote and encourage backyard source reduction

Points of Community Engagement Door to door outreach campaigns – Walk around yard with residents – Provide verbal and written information Community workshops Tabling at community events – Tire pick-up days – Trash can drilling days Social media posts Media releases

Questions? Lauren Salmo, MPH, CHES Public Health Educator California Department of Public Health Vector-Borne Disease Section